First self-perceived signs and symptoms in emerging psychosis compared with depression
Article first published online: 5 MAR 2012
© 2012 Wiley Publishing Asia Pty Ltd
Early Intervention in Psychiatry
Volume 6, Issue 4, pages 455–459, November 2012
How to Cite
Aston, J., Bull, N., Gschwandtner, U., Pflueger, M., Borgwardt, S., Stieglitz, R.-D. and Riecher-Rössler, A. (2012), First self-perceived signs and symptoms in emerging psychosis compared with depression. Early Intervention in Psychiatry, 6: 455–459. doi: 10.1111/j.1751-7893.2012.00354.x
- Issue published online: 29 OCT 2012
- Article first published online: 5 MAR 2012
- Received 10 May 2011; accepted 26 January 2012
- at-risk mental state;
- depressive disorder;
- early recognition;
- psychotic disorder;
Aim: To investigate differences between the early symptoms of schizophrenia and depressive disorders.
Methods: Sixty-one individuals with an at-risk mental state (ARMS), 17 of whom later made the transition to psychosis, 37 patients with a first episode of psychosis and 16 controls with depressive disorders were interviewed about first self-perceived signs and symptoms.
Results: In ARMS and first episode of psychosis, on average, first self-perceived signs or symptoms had occurred about 5–6 years before the interview. In ARMS, including transition to psychosis, ‘loss of energy’ and ‘difficulties concentrating’ were the most frequently recalled first signs. There was much overlap for the four most frequently mentioned symptoms in the three groups. As compared with ARMS, controls with depressive disorders significantly more often recalled ‘depression’ and ‘social isolation’ as the very first signs of disease.
Conclusions: Clinicians should consider the development of self-recalled first signs over time carefully when assessing suspected early prodromal stages of schizophrenia and beginning depressive disorder.